Organization
DIVINE MIND MHP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL EVANS LLPC (CEO/FOUNDER)
(313) 460-4439
Entity
Organization
Contact information
Practice address
36002 HUNTER AVE APT 11315, WESTLAND, MI 48185-6650
(313) 460-4439
Mailing address
36002 HUNTER AVE APT 11315, WESTLAND, MI 48185-6650
(313) 460-4439
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
07/13/2020
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